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Global Health Economics and
            Sustainability
                                                                                 Aging and health facilities in Indian cities



















































            Figure 6. Existing health facilities and average distance to the health facilities among Class I cities in India, 2011 computed by authors using data from
            Census of India, 2011

            highlighted the lack of healthcare facilities in rural areas,   older adults. Therefore, it is essential to improve health
            but this study emphasizes the need to investigate the extent   infrastructure in smaller cities as much as in larger
            of healthcare facilities in urban centers in India, specifically   ones. The study also highlighted significant variations in
            in cities.                                         healthcare infrastructure, services, and travel distances to
              This  study examined  the  distribution  of  the   health facilities (Bhan et al., 2017; Hoof et al., 2018).
            older population alongside the availability of health   In addressing health inequities, alternative approaches
            infrastructure, including hospitals, hospital beds, and   must be considered. During the COVID-19 pandemic,
            healthcare  personnel,  across  various  cities  in  India.  The   telehealth practices expanded rapidly and were widely
            findings indicated that a significant number of Indian   adopted across the globe, reshaping health-care delivery and
            cities have inadequate health infrastructure and personnel   presenting new opportunities for achieving health equity
            (Ajitha  et al., 2022). Moreover, regional differences in   (Kobeissi & Hickey, 2023). In India, the healthcare system was
            the concentration of the older population were observed   on the verge of collapse during the pandemic, but telehealth,
            among Class  I cities, with higher concentrations in the   which allows for remote treatment, played a crucial role in
            northern, southern, and eastern parts of India.    maintaining access to healthcare (Rajkumar et al., 2023).
              Larger cities generally have advanced health facilities,   With the increasing number of older individuals and
            whereas smaller cities experience a lack of adequate   the rising prevalence of chronic, lifestyle-related, and
            facilities although they house similar proportions of   long-term diseases, there is a pressing need for telehealth


            Volume 3 Issue 2 (2025)                         48                       https://doi.org/10.36922/ghes.3993
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